Individual
ALFONSE DESANTO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
2030 HIGHLAND AVE, BETHLEHEM, PA 18020-8963
(570) 234-7562
Mailing address
2030 HIGHLAND AVENUE, BETHLEHEM, PA 18020
(570) 234-7562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006598
PA
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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